ovarian drilling
Laparoscopic procedure using electrocautery or laser to create multiple punctures in polycystic ovaries to induce ovulation.
Full Definition
A minimally invasive surgical treatment for polycystic ovary syndrome (PCOS) when medical management has failed to induce ovulation. The procedure involves using laparoscopic electrocautery, laser, or harmonic scalpel to create 8-10 small puncture holes in the ovarian cortex of each ovary. This destruction of androgen-producing ovarian tissue aims to restore normal hormonal balance, reduce testosterone levels, and promote spontaneous ovulation. The procedure is typically considered for women with clomiphene-resistant PCOS who wish to conceive and prefer to avoid injectable fertility medications.
Usage
Usage note: Fertility treatment for PCOS; ensure distinction from other ovarian procedures in documentation.
In Context
- "Bilateral ovarian drilling was performed using monopolar electrocautery with 8 punctures per ovary." — Operative report
- "The patient achieved spontaneous ovulation three months following ovarian drilling procedure." — Follow-up fertility clinic note